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Adoption Application Form
Border Collies In Need (BCIN) rescue dogs have been generating a lot of interest from our website and other internet communities.  Our rescue volunteers work diligently to match adoption applicants with the dogs in our program, and we have fine-tuned our processes so that we are able to offer adoptions and services more quickly than you might expect.

We recommend that you submit an application for pre-approval even if you do not see a particular Border Collie that interests you at the time of submittal, as dogs are continuously entering our program.  After pre-approval, you can send us an email when that special canine catches your eye, and we will continue the adoption process.  As we evaluate temperament, we give strong consideration to matching dogs with people who have previously submitted an adoption application.

Once an application has been reviewed and approved by BCIN, appointments to meet our dogs are scheduled on a first-come, first-served priority basis.  A pre-approved application does not guarantee adoption.  The interview process continues at a “meet & greet”.  Applicants will be asked additional questions, and observed on how well they (and any other dogs they may have) interact with the BC they are considering as an addition to their family.

“Meet & Greets” are scheduled by appointment only.  Since most of our dogs are located in the high desert, just north of Victorville, the majority of our appointments will be conducted in that area.  If timing permits, BCIN, at their discretion, may schedule pre-appointments at our events prior to, or right at, the beginning of the event start time.

Our ultimate goal is to adopt our dogs into secure, forever, and loving homes in a timely manner and to give them every opportunity to be seen by all potential adopters.  BCIN will not hold dogs for/at an event, or otherwise, as this would not be in their best interest.

Thank you.
* Required field
PERSONAL INFORMATION
* Last Name:
* First Name:
Street Address:
City:
State:
Zip Code:
* Phone Number:
Cell Phone:
* E-Mail Address:
Occupation:
Business Phone:
Fax:
How did you hear about Border Collies In Need?
YOUR HOME
Names and ages of humans in your home:
What type of residence do you have?    Home   Apartment   Condo   Mobile Home   Other
Do you rent or own your home?    Rent   Own If rent, do you have landlord's permission to keep a dog?    Yes   No
Landlord's name and phone number:
Do all family members work?    Yes   No Is someone home during the day?    Yes   No
What provisions will be made for your Border Collie if no one is at home during the day?
Do you have a yard?    Yes   No Completely fenced?  Yes   No Type & height of fence
Size of yard: Is your yard chemically treated?    Yes   No
EXPERIENCE
Why do you want a Border Collie (BC)?
Have you ever owned a BC?    Yes   No Do you still have that dog?    Yes   No
What happened to your last dog?
At any time have you:
A: lost a pet (not through death)?    Yes   No
B: had a pet poisoned?    Yes   No
C: had an animal killed by a vehicle?    Yes   No
D: let a dog ride loose in the bed of a truck?    Yes   No
E: had an animal die due to disease?    Yes   No
F: ever given up a dog before?    Yes   No
If Yes, explain:
For what purpose do you want this dog?
Do you have any other animals?    Yes   No
List type, age, sex, and if sterilized:
Do you intend to keep this dog primarily:  Indoors   Outdoors Where will it sleep?
Behavior you cannot tolerate:  
How will you handle destructive behavior?  
How would you discipline a dog?  
Explain any answers:
PREFERENCE
Do you have a gender preference?    No    Male    Female   Do you have a color preference?  Yes  No
Color preference:
Would you consider:
the opposite sex?  Yes  No     an older dog?  Yes  No     To what age? 
List any activities you may interested in doing with your dog: (herding, agility, disc, flyball, freestyle, water sport, S&R, tracking, service, hiking, etc.)
What size Border Collie do you prefer? What type of coat?  Smooth     Semi-Rough     Rough     No Preference    
RESPONSIBILITY
Are other members of your household aware that you are considering adopting a pet?       Yes   No
Are you prepared to assume the financial responsibilities of caring for an animal, including inoculations, veterinarian care, good quality food, licensing, etc.?
Yes   No
What plans will you make for your BC, should it outlive you, to assure it won’t end up in shelter?
Who will take care of you dog should it outlive you? Name and Phone Number:
Are you planning to move in the near future?   Yes   No Is anyone in your household allergic to animals?    Yes   No
Are you familiar with the animal regulations in your area?    Yes   No
Is the Border Collie going to be a gift?    Yes   No For whom? 
Do they know they will be receiving the gift?    Yes   No
Do you understand that any rescue of a Border collie you may adopt through Border Collies In Need will be sterilized?   Yes   No
What circumstances, in your mind, justify getting rid of a dog?
Are you willing to allow a Rescue Representative member to visit your home by appointment?  Yes   No
Have you ever been convicted of any offense relating to or involving cruelty to, or neglect of, animals?  Yes   No
Do you accept that there will be a donation fee (plus your monthly expenses) for the adopted dog?    Yes   No
Is there a particular Border Collie on our website that you are interested in? If so, please list their name(s)
I understand I may need to travel to meet this dog:    Yes   No
I am in full agreement with the Border Collies In Need Terms of Adoption (attached). By clicking the "Submit" button below, I am submitting my digital signature attesting to the truthfulness of my answers. I understand that falsification of any of the above information will be grounds to disallow the adoption of a rescue Border Collie.

* Date     * Signature (please type legal name)

NOTE: If you are under 18 years of age, a parent or guardian must also sign this application. Thank you for considering a dog from Border Collies In Need. If you have any questions, or if we can be of assistance, please do not hesitate to call. We reserve the right to refuse any applicant.

Border Collies In Need, Incorporated
1621 W. 25th Street #104 San Pedro, CA 90732

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Border Collies In Need, Inc. Official Use Only

Date: ____________________ Approved: ________________ Disapproved:________________

Volunteer:_______________________________________________________

Comments: ________________________________________________________________________________________

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Dog Adopted: _______________________ Microchip Number: _______________ Date: ____________________
   
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